Organization
VICTOR A ESTRADA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR A ESTRADA MD (OWNER-PRESIDENT)
(210) 490-2051
Entity
Organization
Contact information
Practice address
14615 SAN PEDRO, # 250, SAN ANTONIO, TX 78232-4316
(210) 490-2051
(210) 490-6758
Mailing address
14615 SAN PEDRO, # 250, SAN ANTONIO, TX 78232-4316
(210) 490-2051
(210) 490-6758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G8095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120515505
—
TX
Enumeration date
05/23/2007
Last updated
07/01/2008
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